Presynaptic parkinsonism in multiple system atrophy mimicking Parkinson's disease: A clinicopathological case study
Identifieur interne : 004327 ( Main/Exploration ); précédent : 004326; suivant : 004328Presynaptic parkinsonism in multiple system atrophy mimicking Parkinson's disease: A clinicopathological case study
Auteurs : José Berciano [Espagne] ; Francesc Valldeoriola [Espagne] ; Isidre Ferrer [Espagne] ; Jordi Rumià [Espagne] ; Julio Pascual [Espagne] ; Concepci N Marín [Espagne] ; María J. Rey [Espagne] ; Eduardo Tolosa [Espagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2002-07.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Personne âgée.
English descriptors
- KwdEn :
- Brain (pathology), Brain (physiopathology), Case study, Combined Modality Therapy, Diagnosis, Differential, Differential diagnostic, Elderly, Electric Stimulation Therapy, Electrodes, Implanted, Humans, Levodopa (therapeutic use), Male, Middle Aged, Multiple System Atrophy (diagnosis), Multiple System Atrophy (pathology), Multiple System Atrophy (therapy), Multiple system atrophy, Neurologic Examination, Parkinson Disease (diagnosis), Parkinson Disease (pathology), Parkinson Disease (therapy), Parkinson disease, Parkinson's disease, Parkinsonian Disorders (diagnosis), Parkinsonian Disorders (pathology), Parkinsonian Disorders (therapy), Parkinsonism, Pathology, Presynaptic, Receptors, Presynaptic (physiology), Subthalamic Nucleus (pathology), Subthalamic Nucleus (physiopathology), multiple system atrophy, subthalamic nucleus stimulation.
- MESH :
- chemical , physiology : Receptors, Presynaptic.
- chemical , therapeutic use : Levodopa.
- diagnosis : Multiple System Atrophy, Parkinson Disease, Parkinsonian Disorders.
- pathology : Brain, Multiple System Atrophy, Parkinson Disease, Parkinsonian Disorders, Subthalamic Nucleus.
- physiopathology : Brain, Subthalamic Nucleus.
- therapy : Multiple System Atrophy, Parkinson Disease, Parkinsonian Disorders.
- Combined Modality Therapy, Diagnosis, Differential, Electric Stimulation Therapy, Electrodes, Implanted, Humans, Male, Middle Aged, Neurologic Examination.
Abstract
We describe the clinicopathological findings in a patient aged 63 years at death who, at age 55 years, developed levodopa‐responsive parkinsonism with no atypical features. A diagnosis of idiopathic Parkinson's disease (PD) was made. During the clinical course, fluctuations and dyskinesias appeared. Eight years after onset, he was successfully treated with subthalamic nucleus stimulation but died 3 weeks postoperatively from pulmonary embolus. Brain autopsy showed marked neuronal loss and gliosis in the substantia nigra and locus coeruleus, and, to a much lesser extent, in the basis pontis, inferior olivary nuclei, and cerebellar cortex. Striatum was normal. There were numerous oligodendroglial and neuronal cytoplasmic inclusions and neuropil threads, the highest density being localized in the pons and cerebellar white matter. No Lewy bodies were observed. We conclude that nigral, presynaptic parkinsonism may occur in multiple system atrophy, which even in the long run can be indistinguishable from PD. Putaminal preservation accounts for good response to both levodopa therapy and subthalamic nucleus stimulation. © 2002 Movement Disorder Society
Url:
DOI: 10.1002/mds.10190
Affiliations:
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>New York</pubPlace><date type="published" when="2002-07">2002-07</date><biblScope unit="vol">17</biblScope><biblScope unit="issue">4</biblScope><biblScope unit="page" from="812">812</biblScope><biblScope unit="page" to="816">816</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">57C84AA3F6FAEEE8D50716D4FD8A1BEC16C25B34</idno><idno type="DOI">10.1002/mds.10190</idno><idno type="ArticleID">MDS10190</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Brain (pathology)</term><term>Brain (physiopathology)</term><term>Case study</term><term>Combined Modality Therapy</term><term>Diagnosis, Differential</term><term>Differential diagnostic</term><term>Elderly</term><term>Electric Stimulation Therapy</term><term>Electrodes, Implanted</term><term>Humans</term><term>Levodopa (therapeutic use)</term><term>Male</term><term>Middle Aged</term><term>Multiple System Atrophy (diagnosis)</term><term>Multiple System Atrophy (pathology)</term><term>Multiple System Atrophy (therapy)</term><term>Multiple system atrophy</term><term>Neurologic Examination</term><term>Parkinson Disease (diagnosis)</term><term>Parkinson Disease (pathology)</term><term>Parkinson Disease (therapy)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Parkinsonian Disorders (diagnosis)</term><term>Parkinsonian Disorders (pathology)</term><term>Parkinsonian Disorders (therapy)</term><term>Parkinsonism</term><term>Pathology</term><term>Presynaptic</term><term>Receptors, Presynaptic (physiology)</term><term>Subthalamic Nucleus (pathology)</term><term>Subthalamic Nucleus (physiopathology)</term><term>multiple system atrophy</term><term>subthalamic nucleus stimulation</term></keywords><keywords scheme="MESH" type="chemical" qualifier="physiology" xml:lang="en"><term>Receptors, Presynaptic</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Levodopa</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Multiple System Atrophy</term><term>Parkinson Disease</term><term>Parkinsonian Disorders</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Brain</term><term>Multiple System Atrophy</term><term>Parkinson Disease</term><term>Parkinsonian Disorders</term><term>Subthalamic Nucleus</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Brain</term><term>Subthalamic Nucleus</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Multiple System Atrophy</term><term>Parkinson Disease</term><term>Parkinsonian Disorders</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Combined Modality Therapy</term><term>Diagnosis, Differential</term><term>Electric Stimulation Therapy</term><term>Electrodes, Implanted</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neurologic Examination</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Anatomopathologie</term><term>Atrophie multisystématisée</term><term>Diagnostic différentiel</term><term>Etude cas</term><term>Mâle</term><term>Parkinson maladie</term><term>Parkinsonisme</term><term>Personne âgée</term><term>Présynaptique</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Personne âgée</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">We describe the clinicopathological findings in a patient aged 63 years at death who, at age 55 years, developed levodopa‐responsive parkinsonism with no atypical features. A diagnosis of idiopathic Parkinson's disease (PD) was made. During the clinical course, fluctuations and dyskinesias appeared. Eight years after onset, he was successfully treated with subthalamic nucleus stimulation but died 3 weeks postoperatively from pulmonary embolus. Brain autopsy showed marked neuronal loss and gliosis in the substantia nigra and locus coeruleus, and, to a much lesser extent, in the basis pontis, inferior olivary nuclei, and cerebellar cortex. Striatum was normal. There were numerous oligodendroglial and neuronal cytoplasmic inclusions and neuropil threads, the highest density being localized in the pons and cerebellar white matter. No Lewy bodies were observed. We conclude that nigral, presynaptic parkinsonism may occur in multiple system atrophy, which even in the long run can be indistinguishable from PD. Putaminal preservation accounts for good response to both levodopa therapy and subthalamic nucleus stimulation. © 2002 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Espagne</li></country><region><li>Catalogne</li></region><settlement><li>Barcelone</li></settlement></list><tree><country name="Espagne"><noRegion><name sortKey="Berciano, Jose" sort="Berciano, Jose" uniqKey="Berciano J" first="José" last="Berciano">José Berciano</name></noRegion><name sortKey="Ferrer, Isidre" sort="Ferrer, Isidre" uniqKey="Ferrer I" first="Isidre" last="Ferrer">Isidre Ferrer</name><name sortKey="Marin, Concepci N" sort="Marin, Concepci N" uniqKey="Marin C" first="Concepci N" last="Marín">Concepci N Marín</name><name sortKey="Pascual, Julio" sort="Pascual, Julio" uniqKey="Pascual J" first="Julio" last="Pascual">Julio Pascual</name><name sortKey="Rey, Maria J" sort="Rey, Maria J" uniqKey="Rey M" first="María J." last="Rey">María J. Rey</name><name sortKey="Rumia, Jordi" sort="Rumia, Jordi" uniqKey="Rumia J" first="Jordi" last="Rumià">Jordi Rumià</name><name sortKey="Tolosa, Eduardo" sort="Tolosa, Eduardo" uniqKey="Tolosa E" first="Eduardo" last="Tolosa">Eduardo Tolosa</name><name sortKey="Tolosa, Eduardo" sort="Tolosa, Eduardo" uniqKey="Tolosa E" first="Eduardo" last="Tolosa">Eduardo Tolosa</name><name sortKey="Valldeoriola, Francesc" sort="Valldeoriola, Francesc" uniqKey="Valldeoriola F" first="Francesc" last="Valldeoriola">Francesc Valldeoriola</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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